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Earlobes should not be pulling down with your cheek with a facelift by Dr. Philip Young

Tuesday, January 18th, 2011

Earlobes should not be pulling down with your cheek with a facelift by Dr. Philip Young: Earlobes should not be pulling down with your cheek with a facelift. This is a common error with facelifts.  You need to avoid taking out too much skin after pulling up the muscle layer in a facelift.   This condition will lead to a pixie ear deformity where the earlobes are stretched down.   It is common knowledge among the facial plastic surgery community to avoid tension on the skin when closing a facelift incision.  Scarring and pulling of the ear are common sequelae when there is significant tension on the skin.  Don’t worry though there are ways to correct this.  There are many options to reversing this condition.  I had a male patient recently that just had that problem from another surgeon. We were able to correct this with some minimally invasive approaches. Here is a video on face lift.

face lift video

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Procedures | Comments Off on Earlobes should not be pulling down with your cheek with a facelift by Dr. Philip Young

Radiesse would be one option for filling up pleating defects from a facelift by Dr. Philip Young of Bellevue | Seattle

Tuesday, January 18th, 2011

Radiesse would be one option for filling up pleating defects from a facelift by of Bellevue | Seattle: Radiesse would be one option for filling up pleating defects from a facelift. The other option includes carrying out a revision of the facelift to better drape the facial skin. This results from more pulling on the skin and is less likely to occur with more deeper plane lifts that pull up the muscle instead of skin.  Instead of Radiesse, fat injections are a great option to consider for pleating skin. Another newer option is the YoungVitalizer, the breakthrough Incision Less Face Lift. This would be a way to improve the pleating and also a way to avoid a face lift altogether. Here is a video on the YoungVolumizer, our previous name for the YoungVitalizer.

Introduction Video to the Young Vitalizer

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Fat Transfer / Fat Injections, Radiesse | Comments Off on Radiesse would be one option for filling up pleating defects from a facelift by Dr. Philip Young of Bellevue | Seattle

How do I get rid of back hyperpigmentation? by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery

Wednesday, January 12th, 2011

by Dr. Philip Young | Aesthetic Facial Plastic Surgery

This a question that I answered for a patient who had fraxel resurfacing for acne on his back and subsequently had significant hyperpigmentation on his back. He wanted to figure out how to get rid of it. This is how I answered his question, in short:

Intense Pulse Light, Medium depth chemical peels, fractional co2 resurfacing, skin care can improve back pigmentation. With Fraxel resurfacing the pigmentation could be at many different levels. More superficially, I would consider more aggressive skin care light lightening products (retinol, hydroquinone, hydrocortizone), 15% alpha and beta hydroxy lotion, at home glycolic peels.  Also for superficial pigmentation, lighter chemical peels 10-25% TCA (Tricholoroacetic Acid) peels, and active / deep fx could help.  For dermal pigmentation, active and deep fx could improve the pigmentation intense pulse light with varying filters could improve this, as well as different longer length lasers from 585-1064.  Dermal depths are deeper and not accessible to most superficial treatments.

Here is a video on intense pulse light.

intense pulse light video

here is a photo diary showing the recovery from Intense Pulse Light:

http://www.drphilipyoung.com/seattleintensepulselight.php

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Chemical Peels, Intense Pulse Light, Laser Resurfacing, Skin Care / Intense Pulse Light | Comments Off on How do I get rid of back hyperpigmentation? by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery

Removing a chin implant usually requires placing a smaller chin implant to prevent balling up of your chin

Wednesday, January 12th, 2011

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:
This is a question that I answered for a patient that had a chin implant placed by another surgeon. She wanted it removed because after undergoing submental liposuction, her chin looked to long and round.

Removing a chin implant usually requires placing a smaller chin implant to prevent balling up of your chin. Most of the time unless your chin implant is very small like 3mm, you will need to place a smaller chin implant. This is important because without something smaller, the stretched pocket / tissues / skin will contract over this empty space. The very possible potential result is a “balling up” effect which can make your chin look like a ball with a protuberance that you will not like.  The healing of replacing a smaller implant usually is fairly quick with most of the swelling and bruising gone in a week.

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Chin Surgery | Comments Off on Removing a chin implant usually requires placing a smaller chin implant to prevent balling up of your chin

Beverly Hills Housewives and Plastic Surgery

Thursday, January 6th, 2011

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

I watch this show with my wife every week.  Not just this one, but we watch all the housewives series.  The Beverly Hills Housewives are gorgeous in my opinion.  Lisa Vanderpump is, in my assessment of facial aesthetics, the most stunning of all the housewives.  I believe she might be the oldest of the group.  I think Adrienne Maloof is gorgeous as well.  She happens to be my colleagues wife, Paul Nassif who is an excellent surgeon.  He trained me while I was at USC’s during my Head and Neck Surgery residency / Facial Plastic Surgery training.  All the housewives are stunning in their own way.

I was reading a blog or something one day about what plastic surgery they have done.  To me it doesn’t look like they have had much done except superficial treatments like botox or fillers, in my opinion.  Taylor appears to have had some lip augmentation which she has confirmed that has had issues.  I think they have been augmented more than the lower lip.  When this happens there is always a disconnect.  Lip augmentation was one of the primary reasons that I started to pursue finding more answers to facial aesthetics.  My theory believes that the upper lip should be half the size of the lower lip and not much more.  The lower lip is the center of attention.  If you look at any persons face and concentrate on the lower lip, you will see that most of the light that is reflected back to you is coming from the lower lip and not the upper lip.  Taylor’s augmentation looks like it might be a permalip or some implant.  I think Taylor is gorgeous even though she might think her lips are not as optimal as they should.  I think all she would need would be to take the implants out and consider a temporary filler for the time being and possibly other forms of augmentation including v-y advancements, fat injections or replacement of the implant in a better position.

Hope this was interesting

If you ever want some questions answered you can always email me here.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Lip Augmentation / Lip Fillers / Lip Injections / Lip Reduction / Lip Grafts / Lip Advancements / Fat Injections of the Lip, My Journey to Find and Attain Beauty, real housewives | Comments Off on Beverly Hills Housewives and Plastic Surgery

lumps and bumps 11 days after neck liposuction, is there anything more that I can do?

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that I answered for a patient that liposuction done by another surgeon. She was followed by one of the nurses who told her to stop wearing the wrap 11 days after the procedure and that there was nothing to do about the lumps.  She wanted a second opinion.  this is how I answered her question:

Wearing a wrap after the neck lift can be very beneficial. Lumps and bumps are usually par for the course and sometimes unavoidable. They could be areas where there was a previous blood or fluid collection, a suture, retained fat deposit, etc.  I suggest to my patients wearing the wrap non stop for 7 days, and then at night for a total of 2 months.  Where there are areas of swelling, lumps and bumps I suggest them placing some extra gauze there under the wrap for more pressure. This often can resolve some extra swelling.  If this continues there are other measures that can be taken to help the situation, ie steroid injections, more liposuction, removal of the suture, etc.

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift, Liposuction, Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands | Comments Off on lumps and bumps 11 days after neck liposuction, is there anything more that I can do?

Chin and Jaw implants are a great way to shape the lower third of the face.

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

Chin and Jaw implants are a great way to shape the lower third of the face. Chin implants can shape the anterior part of your jawline and bring more balance to your face when people see your face from the front.  The jaw implants on the lateral part of your jaw can widen the lower third of your face and really increase the strength and masculinity of any person’s face.  Chin implants run between 2-6 thousand dollars.  Jaw implant can be a little more.  When you do them together, some surgeons give your a price reconsideration.  You can choose from a variety of implants, different shapes and different sizes, that will fit you personally. And the surgeon can tailor them even more during the procedure.  I personally like medpor implants for the long run.  Once they get incorporated in the body they are much more resilient in my opinion and based on some scientific study.  They get vascularized in 12 weeks and start working just like your body. Silicone implants are more common and are softer which are sometimes more appealing to people.  They feel more like tissue.

chin implant video

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Chin Surgery, Jaw reshaping / Jaw Implants / Jaw Augmentation | Comments Off on Chin and Jaw implants are a great way to shape the lower third of the face.

When is the earliest time you can take out cheek implants if you don’t like them

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that a person was asking regarding taking out implants less than a month after they were put in.  These implants were placed by another surgeon.

There is really no period when you should wait or that is generally recommended or considered standard after a cheek implant.  What your surgeon is likely wanting you to do is to reassess your results.  The swelling should go down and you may like the results later.  That is probably the intent of your surgeons. So most doctors are going to want you to really make sure you want them out with the ultimate results that are going to become manifest for you. I think patience is important.  But you do have options.  There is no reason you can’t remove them asap.  I think the other doctors just want you to wait to really assess your results. You are always welcome to reach out to me for more advice or more questions. You can email us here Plastic Surgery

Cheek Plastic Surgery

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Cheek Augmentation, Facial Implants | Comments Off on When is the earliest time you can take out cheek implants if you don’t like them

Alloderm for neck defects after neck lift

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that I answered for a patient who had a neck lift that was done by another surgeon. The patient felt he had a defect and lack of volume from getting too much liposuction with the neck lift. He was wondering if Alloderm would be a good option:

Alloderm can work but may not be long term result. Some studies show complete absorption of the Alloderm. Fat injections can be a great alternative. This would be also a less invasive alternative as well. The YoungVitalizer is our unique option for facial rejuvenation but this approach that we use can also be used for helping with neck defects as well.

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Hope that helps!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Necklift / Neck Lift / Platysmaplasty / Turkey Gobblers / Neck Bands | Comments Off on Alloderm for neck defects after neck lift

Accutane is generally a contraindication to any resurfacing

Wednesday, December 29th, 2010

by Bellevue | Seattle’s Dr. Philip Young | Aesthetic Facial Plastic Surgery:

This is a question that I answered for someone concerned that their doctor was going to put them on Accutane and then employ dermarolling to improve some acne scars. Here is a quick answer that I gave them:

Accutane is generally a contraindication to any laser resurfacing. However derma rolling is a form of fractionated type of resurfacing which may not have as significant risks.  This would be highly dependent on your surgeons experience. There are other ways to control your acne including hormonal control, antibiotics, chemical peels, directed skin care.

If you click on the picture below you can see a very informative laser resurfacing video:

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Hope that helps!

Thanks for reading, Dr Young

Dr Young specializes in Facial Plastic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Posted in Acne Scar Treatment, Laser Resurfacing, Scar Removal / scar reduction / scar revision / scar treatment | Comments Off on Accutane is generally a contraindication to any resurfacing

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